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Shaburi and Kintan Branch
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Glorietta
[1] Which Course did you order today?
SHABURI & KINTAN
1. Shaburi - Regular Shabu
2. Shaburi - Special Shabu
3. Shaburi - Premium Wagyu Shabu
4. Kintan - Regular Buffet
5. Kintan - Premium Buffet
6. Kintan - Premium Wagyu Buffet
7. Shabu-Shabu Home Set
8. Japanese BBQ Home Set
9. Shaburi - Plate Set
10. Kintan - Plate Set
[2] Restaurant Service
Restaurant Service
e. Who is the most impressive staff?
[3] Food Quality
Restaurant Service
[4]
a. Favorite Dish:
b. Least Favorite Dish:
[5]
Would you recommend us to your Family/ Friends?
Yes
No
[6] How did you hear about us?
Hear About Us SK
Facebook
Website
Family/Friends
SMS
Flyers
Magazine
Walk By
Others
Others
[7] How often do you visit our restaurant?
Visit SK
First Visit
Once a week
Once a month
Other
[8] Comments/Suggestions: *
Comments/Suggestions:
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Personal Details
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Date:
MM slash DD slash YYYY
Name:
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First
Date of Birth:
MM slash DD slash YYYY
Gender:
Male
Female
Contact Number:
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Email:
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Address:
Age:
Under 20's
20's
30's
40's
50's and Above
Receipt
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Comments
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